Education

Publications

First-in-Human Side-to-Side Magnetic Compression Duodeno- Ileostomy with the Magnet Anastomosis System

Michel Gagner, David Abuladze, Levan Koiava, J. N. Buchwald, Nathalie Van Sante, Todd Krinke

Side-to-side magnet anastomosis system duodeno-ileostomy with sleeve gastrectomy: early multi-center results

M. Gagner, G.B. Cadiere, A. Sanchez-Pernaute, D. Abuladze, T. Krinke, J. N. Buchwald, N. Van Sante, M. Van Gossum, J. Dziakova, L. Koiava, M. Odovic, M. Poras, L. Almutlaq, A.J. Torres

Side-to-Side Magnetic Duodeno-Ileostomy in Adults with Severe Obesity with or without Type 2 Diabetes: Early Outcomes with Prior or Concurrent Sleeve Gastrectomy

Michel Gagner, Lamees Almutlaq, Guy-Bernard Cadiere, Antonio J. Torres, Andres Sanchez-Pernaute, J. N. Buchwald, David Abuladze

Sleeve Gastrectomy with Duodeno-Ileal Bipartition Using Linear Magnets: Feasibility and Safety at 1-Year Follow-up

Guy-Bernard Cadière, Mathilde Poras, Marie-Thérèse Maréchal, Luca Pau, Raoul Muteganya, Marc Van Gossum, Benjamin Cadière, Nathalie Van Sante, Michel Gagner

Magnetic Compression Anastomosis Gastro-Jejunostomy: Feasibility and Efficacy of a Novel Device in a Swine Model

Michel Gagner, Todd Krinke, Maxime Lapointe-Gagner, J. N. Buchwald (in press)

Spanish Experience with Latero-Lateral Duodeno-Ileostomy + Sleeve Gastrectomy with Magnet anastomosis System

Jana Dziakova, Antonio Torres, Maja Odovic , José Miguel Esteban, Manuel Vázquez-Romero, Andrea Castillo, Andrés Sánchez-Pernaute, Michel Gagner

Videos

These videos includes references to the use of a surgical device and the opinions of the individual presenter. It may also include reference to medical devices still in development or available for investigational use only and represents scientific exchange. 

 It is not intended to be used as a surgical training guide. Other surgeons may employ different techniques. The steps demonstrated may not be the complete steps of the procedure. Individual surgeon preference and experience, as well as patient needs, may dictate variation in procedure steps. 

 Before using any medical device, including those demonstrated or references in this video, review all labeling, including without limitation; the instructions For Use (IFU), and all relevant package inserts, with particular attention paid to the indications, contraindications, warnings, and precautions and steps for use of the device(s).

Relevant Articles

Combined Therapies for Obesity: The Dawn of a New Era!

Adrian G. Dan, MD, FACS, FASMBS
Bariatric Times
May 1, 2023

Evolution of Magnetic Gastrointestinal Compression Anastomosis

Preclinical studies

Historical Gastrointestinal Compression Anastomosis

Non-Magnetic GI Compression Anastomosis History, Mainly Colorectal

Buchberg BS, Masoomi H, Bergman H, Mills SD, Stamos MJ. The use of a compression device as an alternative to hand-sewn and stapled colorectal anastomoses: is three a crowd? J Gastrointest Surg. 2011;15(2):304-10.

Kaidar-Person O, Rosenthal RJ, Wexner SD, Szomstein S, Person B. Compression anastomosis: history and clinical considerations. Am J Surg. 2008;195:818-26.

Tucker ON, Beglaibter N, Rosenthal RJ. Compression anastomosis for Roux-en-Y gastric bypass: observations in a large animal model. Surg Obes Relat Dis. 2008 Mar-Apr;4(2):115-21.

Stewart D, Hunt S, Pierce R, Dongli M, Frisella M, Cook K, Starcher B, Fleshman J. Validation of the NITI endoluminal compression anastomosis ring (EndoCAR) device and comparison to the traditional circular stapled colorectal anastomosis in a porcine model. Surg Innov. 2007;14(4):252-60.

Nudelman IL, Fuko V, Greif F, Lelchuk S. Colonic anastomosis with the nickel-titanium temperature-dependent memory-shape device. Am J Surg. 2002;183:697-701.

Nudelman IL, Fuko VV, Morgenstern S, Lelcuk S. Gastrointestinal anastomosis with the nickel-titanium double ring. World J Surg 2000;24:874-77.

Bubrick MP, Corman ML, Cahill CJ, Hardy TG, Nance FC, Shatney, CH. Prospective, randomized trial of the biofragmentable anastomosis ring. The BAR Investigational Group. Am J Surg. 1991;161:136-42.

Rebuffat C, Rosati R, Montorsi M, Fumagalli U, Maciocco M, Poccobelli M, Roviaro G, Varoli F, Pezzuoli G. Clinical application of a new compression anastomotic device for colorectal surgery. Am J Surg. 1990;159:330-35.

Corman ML, Prager ED, Hardy TG Jr, Bubrick MP. Comparison of the Valtrac biofragmentable anastomosis ring with conventional suture and stapled anastomosis in colon surgery. Results of a prospective, randomized clinical trial. Dis Colon Rectum. 1989;32(3):183-87.

Hardy TG Jr, Pace WG, Maney JW, Katz AR, Kaganov AL. A biofragmentable ring for sutureless bowel anastomosis. An experimental study. Dis Colon Rectum. 1985;28:484-90.

Kanshin NN, Lytkin MI, Knysh VI, lu Klur V, Khamidov AI. First experience with application of compression anastomoses with the apparatus AKA-2 in operations on the large intestine. Vestn Khir Im I I Grek. 1984;132:52-57.

Mayo WJ, Mayo CH. Clinical report—I. Complete section of the vas deferens, end-to-end union; II. acute suppuration of knee-joint: open treatment; III. gastro-enterostomy by the murphy button: anastomoses by this method. Ann Surg. 1895;21(1):35-44.

Murphy JB. Cholecysto-intestinal, gastro-intestinal, entero-intestinal anastomosis, and approximation without sutures. Med Rec N Y. 1892;42:665-76.

Magnetic GI Compression Anastomosis History

Zhang M, Li Y, Pan M, Xu S, Gai J, Zhang H, An Y, Shi A, Lyu Y, Yan X. Creation of gastroenteric anastomosis through natural orifice in rats by magnetic compression technique. Surg Endosc. 2022 May 2. doi: 10.1007/s00464-022-09257-z. Epub ahead of print. PMID: 35501603.

Zhang M, Lyu X, Zhao G, An Y, Lyu Y, Yan X. Establishment of Yan-Zhang’s staging of digestive tract magnetic compression anastomosis in a rat model. Sci Rep. 2022;12:12445.  

Brunaldi VO, Galvao Neto M. Endoscopic magnetic bowel anastomosis. Chapter 15. In: Magnetic Surgery, Gagner M, editor. Springer Publisher, New York, NY; 2021, pp 149-58.

Yamanouchi E, Kumano R, Ohdaira H, Suzuki Y. Magnetic compression anastomosis and magnetic compression revision for stenosis. Chapter 16. In: Magnetic Surgery, Gagner M, editor. Springer Publisher, New York, NY; 2021, pp 159-203.

Sedghi S, Kendrick K, Lee SC, Engle S, Yoshida K, Smith B. Magnetic satiety system: the use of magnets to assist in combating obesity. Chapter 19. In: Magnetic Surgery, Gagner M, editor. Springer Publisher, New York, NY; 2021, pp 221-42.

Marrache MK, Itani MI, Farha J, Fayad L, Sharara SL, Kalloo AN, Khashab MA, Kumbhari V. Endoscopic gastrointestinal anastomosis: a review of established techniques. Gastrointest Endosc. 2021 Jan;93(1):34-46.

Winder JS, Rodriguez JH. Emerging endoscopic interventions in bariatric surgery. Surg Clin North Am. 2021;101(2):373-79.

Kamada T, Ohdaira H, Takeuchi H, Takahashi J, Ito E, Suzuki N, Narihiro S, Yoshida M, Yamanouchi E, Suzuki Y. New technique for magnetic compression anastomosis without incision for gastrointestinal obstruction. J Am Coll Surg. 2021 Feb;232(2):170-77.e2.

Chen H, Ma T, Wang Y, Zhu HY, Feng Z, Wu RQ, Lv Y, Dong DH. Fedora-type magnetic compression anastomosis device for intestinal anastomosis. World J Gastroenterol. 2020 Nov 14;26(42):6614-25.

Qiao W, Shi A, Ma F, Yan X, Duan J, Wu R, Li D, Lv Y. Further development of magnetic compression for gastrojejunostomy in rabbits. J Surg Res. 2020 Jan;245:249-56.

Hu B, Ye LS. Endoscopic applications of magnets for the treatment of gastrointestinal diseases. World J Gastrointest Endosc. 2019 Dec 16;11(12):548-60.

Bužga M, Machytka E, Holéczy P, Macháčková J. Partial magnetic jejunal diversion (PMJD) in severely obese patients. Rozhl Chir. 2019 Winter;98(2):71-76.

Diaz R, Davalos G, Welsh LK, Portenier D, Guerron AD. Use of magnets in gastrointestinal surgery. Surg Endosc. 2019 Jun;33(6):1721-30.

Zhao G, Ma J, Yan X, Li J, Ma F, Wang H, Liu Y, Lv Y. Optimized force range of magnetic compression anastomosis in dog intestinal tissue. J Pediatr Surg. 2019 Oct;54(10):2166-71

Graves CE, Co C, Hsi RS, Kwiat D, Imamura-Ching J, Harrison MR, Stoller ML. Magnetic compression anastomosis (magnamosis): first-in-human trial. J Am Coll Surg. 2017;225:676-81.

Toselli L, Martinez-Ferro M, Cervio G, Kwiat D, Imamura-Ching J, Graves CE, Gaston B, Harrison M. Magnetic compression anastomosis (magnamosis) for functional undiversion of ileostomy in pediatric patients. J Laparoendosc Adv Surg Tech A. 2017;27(12):1314-17.

Machytka E, Bužga M, Zonca P, Lautz DB, Ryou M, Simonson DC, Thompson CC. Partial jejunal diversion using an incisionless magnetic anastomosis system: 1-year interim results in patients with obesity and diabetes. Gastrointest Endosc. 2017 Nov;86(5):904-12.

Arun A, Gaston B, Kwiat D, Imamura-Ching J, Fechter R, Chen S, Jiang H, Harrison M, Roy S. Inductive sensing to detect tissue thickness between magnets for potential application in magnetic compression based anastomosis. ASME J Med Device. 2016 Mar;10(1):011008.

Ryou M, Aihara H, Thompson CC. Minimally invasive entero-enteral dual-path bypass using self-assembling magnets. Surg Endosc. 2016 Oct;30(10):4533-38.

Ryou M, Agoston AT, Thompson CC. Endoscopic intestinal bypass creation by using self-assembling magnets in a porcine model. Gastrointest Endosc. 2016;83(4):821-25.

Diana M, Mutter D, Lindner V, Vix M, Chung H, Demartines N, Marescaux J. A modular magnetic anastomotic device for minimally invasive digestive anastomosis: proof of concept and preliminary data in the pig model. Surg Endosc. 2014 May;28(5):1613-23.

Wall J, Diana M, Leroy J, Deruijter V, Gonzales KD, Lindner V, Harrison M, Marescaux J. MAGNAMOSIS IV: magnetic compression anastomosis for minimally invasive colorectal surgery. Endoscopy. 2013 Aug;45(8):643-48.

Leroy J, Perretta S, Diana M, Wall J, Lindner V, Harrison M, Marescaux J. An original endoluminal magnetic anastomotic device allowing pure NOTES transgastric and transrectal sigmoidectomy in a porcine model: proof of concept. Surg Innov. 2012;19(2):109-16.

Diana M, Wall J, Perretta S, Dallemagne B, Gonzales KD, Harrison MR, Agnus V, Soler L, Nicolau S, Marescaux J. Totally endoscopic magnetic enteral bypass by external guided rendezvous technique. Surg Innov. 2011;18(4):317-20.

Jamshidi R, Stephenson JT, Clay JG, Pichakron KO, Harrison MR. Magnamosis: magnetic compression anastomosis with comparison to suture and staple techniques. J Pediatr Surg. 2009;44(1):222-28.

Jansen A, Brummelkamp WH, Davies GS, Klopper PJ, Keeman JN. Clinical application of magnetic rings in colorectal anastomoses. Surg Gynecol Obstet. 1981;153(4):537-45.

Section 2  –  Side-to-side Duodeno-ileal (DI) Anastomosis

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Gagner M, Lapointe-Gagner M. Duodenal bipartition or side-to-side duodeno-ileostomy. Rationale and technical details. Chapter 29. In: Teixeira J, et al, editors. Duodenal Switch and its Derivatives in Bariatric and Metabolic Surgery: A Comprehensive Clinical Guide. Springer Publisher; 2021. In press.

Gagner M. Safety and efficacy of a side-to-side duodeno-ileal anastomosis for weight loss and type-2 diabetes: duodenal bipartition, a novel metabolic surgery procedure. Ann Surg Innov Res. 2015;14(9):6.

Gagner M. Bipartición duodenoileal con anastomosis laterolateral. Chapter 10. In: Atlas de Cirugia Bariatrica y Metabolica. Abordaje Laparoscópico, Endoscópico y Técnicas Miniinvasivas + Acceso a Contenidos Online. Eds: Palermo M, Rodríguez González A. Amolca Publisher; December 2018.

Gagner M. Emerging techniques in bariatric surgery – laparoscopic duodeno-ileostomy. ACS-2771 Online Video Library of the American College of Surgeons, 2009.

Magnetic

Gagner M. Duodeno-ileal anastomosis with self-assembling magnets: initial concepts and basis of this operation. Obes Surg. 2022 Mar;32(3):932-33. Letter to the Editor 

Schlottmann F, Ryou M, Lautz D, Thompson CC, Buxhoeveden R. Sutureless duodeno-ileal anastomosis with self-assembling magnets: safety and feasibility of a novel metabolic procedure. Obes Surg. 2021 Sep;31(9):4195-4202.

Gagner M. Laparoendoscopic magnetic gastrointestinal anastomosis. Chapter 14. In: Magnetic Surgery, Gagner M, editor. Springer Publisher, New York, NY; 2021, pp 135–48.

Zhao G, Yan X, Ma L, Liu W, Zhang J, Guo H, Liu Y, Lv Y. Biomechanical and performance evaluation of magnetic elliptical-ring compressive anastomoses. J Surg Res. 2019 Jul;239:52-59.

Graves CE, Co C, Hsi RS, Kwiat D, Imamura-Ching J, Harrison MR, Stoller ML. Magnetic compression anastomosis (magnamosis): first-in-human trial. J Am Coll Surg. 2017;225:676-81.

Ryou M, Aihara H, Thompson CC. Minimally invasive entero-enteral dual-path bypass using self-assembling magnets. Surg Endosc. 2016 Oct;30(10):4533-38.

Section 3  –  Side-to-side Duodeno-colic (DC) Anastomosis

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* Gagner M. Side-to-side duodeno-colic anastomosis provides dramatic weight loss. A potentially strong anti-diabetic operation for type-2 diabetes. Minerva Chir. 2017;72(3):169-77.

Magnetic

* Zhang M, Lyu X, Zhao G, An Y, Lyu Y, Yan X. Establishment of Yan-Zhang’s staging of digestive tract magnetic compression anastomosis in a rat model. Sci Rep. 2022 Jul 20;12(1):12445.

* Gonzales KD, Douglas G, Pichakron KO, Kwiat DA,  Gallardo SG, Encinas JL, Harrison MR. Magnamosis III: delivery of a magnetic compression anastomosis device using minimally invasive endoscopic techniques. J Pediatr Surg 2012;47:1291-95.

Section 4  –  [End-to-side] Gastro-jejunal (GJ) Anastomosis

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Kusnierz K, Lekston Z, Zhavoronkov D, Mrowiec S, Lampe P. A nickel-titanium memory-shape device for gastrojejunostomy: comparison of the compression anastomosis clip and a hand-sewn anastomosis. J Surg Res. 2014 Mar;187(1):94-100.

Magnetic

Simons-Linares CR, Vargo JJ. Use of magnets in flexible endoscopy. Chapter 10. In: Magnetic Surgery, Gagner M, editor. Springer Publisher, New York, NY; 2021, pp 95-107.

Brunaldi VO, Galvao Neto M. Endoscopic magnetic bowel anastomosis. Chapter 15. In: Magnetic Surgery, Gagner M, editor. Springer Publisher, New York, NY; 2021, pp 149-58.

Qiao W, Shi A, Ma F, Yan X, Duan J, Wu R, Li D, Lv Y. Further development of magnetic compression for gastrojejunostomy in rabbits. J Surg Res. 2020 Jan;245:249-56.

Watanabe R, Barberio M, Kanaji S, Lapergola A, Ashoka AH, Andreiuk B, et al. Hybrid fluorescent magnetic gastrojejunostomy: an experimental feasibility study in the porcine model and human cadaver. Surg Endosc. 2020 Mar;34(3):1393-1400.

An Y, Zhang Y, Liu H, Ma S, Fu S, Lv Y, Yan X. Gastrojejunal anastomosis in rats using the magnetic compression technique. Sci Rep. 2018 Aug 2;8(1):11620.

Pichakron KO, Jelin EB, Hirose S, Curran PF, Jamshidi R, Stephenson JT, Fechter R, Strange M, Harrison MR. Magnamosis II: Magnetic compression anastomosis for minimally invasive gastrojejunostomy and jejunojejunostomy. J Am Coll Surg. 2011 Jan;212(1):42-49.

Ryou M, Cantillon-Murphy P, Azagury D, Shaikh SN, Ha G, Greenwalt I, et al. Smart self-assembling magnetS for endoscopy (SAMSEN) for transoral endoscopic creation of immediate gastrojejunostomy (with video). Gastrointest Endosc. 2011 Feb;73(2):353-59.

Chopita N, Villaverde A, Cope C, Bernedo A, Martinez H, Landoni N, Jmelnitzky A, Burgos H. Endoscopic gastroenteric anastomosis using magnets. Endoscopy. 2005;37(4):313-37.

Cope C, Ginsberg GG. Long-term patency of experimental magnetic compression gastroenteric anastomoses achieved with covered stents. Gastrointest Endosc. 2001;53(7):780-84.

Cope C. Creation of compression gastroenterostomy by means of the oral, percutaneous, or surgical introduction of magnets: feasibility study in swine. J Vasc Interv Radiol. 1995;6:539-45.

Sackier JM, Jessup G, Krenz H, Allen W, Ahari F. Biofragmentable anastomosis ring for laparoscopic bowel surgery. Surg Endosc. 1994;8(10):1190-94.

Section 5  –  End-to-side Single Anastomosis Duodeno-ileostomy (SADI)

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Brown WA, de Leon Ballesteros GP, Ooi G, Higa K, Himpens J, Torres A, Shikora S, Kow L, Herrera MF; IFSO appointed task force reviewing the literature on SADI-S/OADS. Single anastomosis duodenal-ileal bypass with sleeve gastrectomy/one anastomosis duodenal switch (SADI-S/OADS) IFSO Position Statement-Update 2020. Obes Surg. 2021 Jan;31(1):3-25.

Kallies K, Rogers AM; American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. American Society for Metabolic and Bariatric Surgery updated statement on single-anastomosis duodenal switch. Surg Obes Relat Dis. 2020;16:825-30.

Sánchez-Pernaute A, Rubio Herrera MA, Pérez-Aguirre E, García Pérez JC, Cabrerizo L, Díez Valladares L, Fernández C, Talavera P, Torres A. Proximal duodenal-ileal end-to-side bypass with sleeve gastrectomy: proposed technique. Obes Surg. 2007;17:1614-18.

Related Articles in MIS, Bariatric/Metabolic Surgery

Sleeve Gastrectomy (SG)

Sleeve Gastrectomy (SG)

Aiolfi A, Gagner M, Zappa MA, Lastraioli C, Lombardo F, Panizzo V, Bonitta G, Cavalli M, Campanelli G, Bona D. Staple line reinforcement during laparoscopic sleeve gastrectomy: systematic review and network meta-analysis of randomized controlled trials. Obes Surg. 2022 May;32(5):1466-1478. doi: 10.1007/s11695-022-05950-z. Epub 2022 Feb 16. PMID: 35169954; PMCID: PMC8986671.

Wang Y, Duan L, Han X, Wang J, Yan G. Changes in nutritional outcomes after sleeve gastrectomy: a systematic review and meta-analysis. Obes Surg. 2022 Jan;32(1):103-114. doi: 10.1007/s11695-021-05740-z. Epub 2021 Oct 22. PMID: 34677757.

Castellana M, Procino F, Biacchi E, Zupo R, Lampignano L, Castellana F, Sardone R, Palermo A, Cesareo R, Trimboli P, Giannelli G. Roux-en-Y gastric bypass vs sleeve gastrectomy for remission of type 2 diabetes. J Clin Endocrinol Metab. 2021 Mar 8;106(3):922-933. doi: 10.1210/clinem/dgaa737. PMID: 33051679.

Borgeraas H, Hofsø D, Hertel JK, Hjelmesaeth J. Comparison of the effect of Roux-en-Y gastric bypass and sleeve gastrectomy on remission of type 2 diabetes: a systematic review and meta-analysis of randomized controlled trials. Obes Rev. 2020 Jun;21(6):e13011. doi: 10.1111/obr.13011. Epub 2020 Mar 11. Erratum in: Obes Rev. 2022 Apr;23(4):e13432. PMID: 32162437; PMCID: PMC7317556.

Sharples AJ, Mahawar K. Systematic review and meta-analysis of randomised controlled trials comparing long-term outcomes of Roux-en-Y gastric bypass and sleeve gastrectomy. Obes Surg. 2020 Feb;30(2):664-672. doi: 10.1007/s11695-019-04235-2. PMID: 31724116.

Gagner M, Ramos Cardoso A, Palermo M, Noel P, Nocca D. The Perfect Sleeve Gastrectomy: A Clinical Guide to Evaluation, Treatment, and Techniques. Springer Cham, 2020. doi.org/10.1007/978-3-030-28936-2.

Gagner M. The future of sleeve gastrectomy. Eur Endocrinol. 2016 Mar;12(1):37-38. doi: 10.17925/EE.2016.12.01.37. Epub 2016 Mar 15. PMID: 29632587; PMCID: PMC5813458.

Roux-en-Y Gastric Bypass (RYGB)

Roux-en-Y Gastric Bypass (RYGB)

McTigue KM, Wellman R, Nauman E, et al. Comparing the 5-year diabetes outcomes of sleeve gastrectomy and gastric bypass: the national patient-centered clinical research network (PCORNet) bariatric study. JAMA Surg. 2020;155(5):e200087. doi:10.1001/jamasurg.2020.0087

Pucci A, Batterham, R.L. Mechanisms underlying the weight loss effects of RYGB and SG: similar, yet different. J Endocrinol Invest 2019;42:117–128. https://doi.org/10.1007/s40618-018-0892-2

O’Brien PE, Hindle A, Brennan L, Skinner S, Burton P, Smith A, Crosthwaite G, Brown W. Long-term outcomes after bariatric surgery: a systematic review and meta-analysis of weight loss at 10 or more years for all bariatric procedures and a single-centre review of 20-year outcomes after adjustable gastric banding. Obes Surg. 2019 Jan;29(1):3-14. doi: 10.1007/s11695-018-3525-0. PMID: 30293134; PMCID: PMC6320354.

Nguyen NT, Kim E, Vu S, Phelan M. Ten-year outcomes of a prospective randomized trial of laparoscopic gastric bypass versus laparoscopic gastric banding. Ann Surg. 2018 Jul;268(1):106-113. doi: 10.1097/SLA.0000000000002348. PMID: 28692476; PMCID: PMC5867269.

Adams TD, Davidson LE, Litwin SE, Kim J, Kolotkin RL, Nanjee MN, Gutierrez JM, Frogley SJ, Ibele AR, Brinton EA, Hopkins PN, McKinlay R, Simper SC, Hunt SC. Weight and metabolic outcomes 12 years after gastric bypass. N Engl J Med. 2017 Sep 21;377(12):1143-1155. doi: 10.1056/NEJMoa1700459. PMID: 28930514; PMCID: PMC5737957.

Mehaffey J, Hunter MD, LaPar DJ,  Clement KC, Turrentine F, Miller MS, Hallowell PT, Schirmer BD. 10-year outcomes after Roux-en-Y gastric bypass. Annals of Surgery. July 2016;264(1):121-126. | DOI: 10.1097/SLA.0000000000001544

Duodenal Switch (DS)

Duodenal Switch (DS)

Nakanishi H, Matar RH, Vahibe A, Abu Dayyeh BK, Galvani C, Pullatt R, Davis SS Jr, Clapp B, Ghanem OM. Single versus double anastomosis duodenal switch in the management of obesity: a meta-analysis and systematic review. Surg Laparosc Endosc Percutan Tech. 2022 Oct 1;32(5):595-605. doi: 10.1097/SLE.0000000000001102. PMID: 36130714.

Gagner M, Boza C. Laparoscopic duodenal switch for morbid obesity. Expert Rev Med Devices. 2006 Jan;3(1):105-12. doi: 10.1586/17434440.3.1.105. PMID: 16359257.

One-Anastomosis Gastric Bypass (OAGB)

One-Anastomosis Gastric Bypass (OAGB)

Li X, Hu X, Fu C, Han L, Xie M, Ouyang S. Efficacy and safety of one anastomosis gastric bypass versus Roux-en-Y gastric bypass for obesity: a meta-analysis and systematic seview. Obes Surg. 2023 Feb;33(2):611-622. doi: 10.1007/s11695-022-06401-5. Epub 2022 Dec 23. PMID: 36564618; PMCID: PMC9889439.

De Luca M, Piatto G, Merola G, Himpens J, Chevallier JM, Carbajo MA, Mahawar K, Sartori A, Clemente N, Herrera M, Higa K, Brown WA, Shikora S. IFSO update position statement on one anastomosis gastric bypass (OAGB). Obes Surg. 2021 Jul;31(7):3251-3278. doi: 10.1007/s11695-021-05413-x. Epub 2021 May 3. PMID: 33939059.

Magouliotis DE, Tasiopoulou VS, Tzovaras G. One anastomosis gastric bypass versus Roux-en-Y gastric bypass for morbid obesity: an updated meta-analysis. Obes Surg. 2019 Sep;29(9):2721-2730. doi: 10.1007/s11695-019-04005-0. PMID: 31172454.

Parmar CD, Mahawar KK. One anastomosis (mini) gastric bypass is now an established bariatric procedure: a systematic review of 12,807 patients. Obes Surg. 2018 Sep;28(9):2956-2967. doi: 10.1007/s11695-018-3382-x. PMID: 29995293.v

Single-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S)

Single-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S)

Verhoeff K, Mocanu V, Jogiat U, Forbes H, Switzer NJ, Birch DW, Karmali S. Patient selection and 30-day outcomes of SADI-S compared to RYGB: a retrospective cohort study of 47,375 patients. Obes Surg. 2022 Jul;32(7):1-8. doi: 10.1007/s11695-022-06068-y. Epub 2022 Apr 21. PMID: 35445967; PMCID: PMC9022408.

Spinos D, Skarentzos K, Esagian SM, Seymour KA, Economopoulos KP. The effectiveness of single-anastomosis duodenoileal bypass with sleeve gastrectomy/one anastomosis duodenal switch (SADI-S/OADS): an updated systematic review. Obes Surg. 2021 Apr;31(4):1790-1800. doi: 10.1007/s11695-020-05188-7. Epub 2021 Jan 16. PMID: 33452998.

Brown WA, de Leon Ballesteros GP, Ooi G, Higa K, Himpens J, Torres A, Shikora S, Kow L, Herrera MF; IFSO appointed task force reviewing the literature on SADI-S/OADS. Single anastomosis duodenal-ileal bypass with sleeve gastrectomy/one anastomosis duodenal switch (SADI-S/OADS) IFSO position statement-update 2020. Obes Surg. 2021 Jan;31(1):3-25. doi: 10.1007/s11695-020-05134-7. Epub 2021 Jan 6. PMID: 33409979.Brown (IFSO Position 

Kallies K, Rogers AM; American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. American Society for Metabolic and Bariatric Surgery updated statement on single-anastomosis duodenal switch. Surg Obes Relat Dis. 2020 Jul;16(7):825-830. doi: 10.1016/j.soard.2020.03.020. Epub 2020 Mar 30. PMID: 32371036.

Single-Anastomosis Sleeve Ileal Bypass (SASI)

Single-Anastomosis Sleeve Ileal Bypass (SASI)

Hosseini SV, Moeinvaziri N, Medhati P, Salem SA, Hosseini E, Clark CCT, Haghighat N. The effect of single-anastomosis sleeve ileal (SASI) bypass on patients with severe obesity in three consecutive years. World J Surg. 2022 Nov;46(11):2744-2750. doi: 10.1007/s00268-022-06706-7. Epub 2022 Aug 21. PMID: 35989370.

Emile SH, Mahdy T, Schou C, Kramer M, Shikora S. Systematic review of the outcome of single-anastomosis sleeve ileal (SASI) bypass in treatment of morbid obesity with proportion meta-analysis of improvement in diabetes mellitus. Int J Surg. 2021 Aug;92:106024. doi: 10.1016/j.ijsu.2021.106024. Epub 2021 Jul 9. PMID: 34252597.

Semaglutide

Semaglutide

Li A, Su X, Hu S, Wang Y. Efficacy and safety of oral semaglutide in type 2 diabetes mellitus: A systematic review and meta-analysis. Diabetes Res Clin Pract. 2023 Apr;198:110605. doi: 10.1016/j.diabres.2023.110605. Epub 2023 Mar 5. PMID: 36871874.

Jensen AB, Renström F, Aczél S, Folie P, Biraima-Steinemann M, Beuschlein F, Bilz S. Efficacy of the glucagon-like peptide-1 receptor agonists liraglutide and semaglutide for the treatment of weight regain after bariatric surgery: a retrospective observational study. Obes Surg. 2023 Apr;33(4):1017-1025. doi: 10.1007/s11695-023-06484-8. Epub 2023 Feb 11. PMID: 36765019; PMCID: PMC9918402. 

Arastu N, Cummins O, Uribe W, Nemec EC. Efficacy of subcutaneous semaglutide compared to placebo for weight loss in obese, non-diabetic adults: a systematic review & meta-analysis. Int J Clin Pharm. 2022 Aug;44(4):852-859. doi: 10.1007/s11096-022-01428-1. Epub 2022 Jun 17. PMID: 35715543.

Diabetes after Metabolic/Bariatric Surgery 

Diabetes after Metabolic/Bariatric Surgery

Mirghani H, Altedlawi Albalawi I. Metabolic surgery versus usual care effects on diabetes remission: a systematic review and meta-analysis. Diabetol Metab Syndr. 2023 Feb 24;15(1):31. doi: 10.1186/s13098-023-01001-4. PMID: 36829204; PMCID: PMC9951503.

Currie AC, Askari A, Fangueiro A, Mahawar K. Network meta-analysis of metabolic surgery procedures for the treatment of obesity and diabetes. Obes Surg. 2021 Oct;31(10):4528-4541. doi: 10.1007/s11695-021-05643-z. Epub 2021 Aug 7. PMID: 34363144; PMCID: PMC8346344.

Ding L, Fan Y, Li H, Zhang Y, Qi D, Tang S, Cui J, He Q, Zhuo C, Liu M. Comparative effectiveness of bariatric surgeries in patients with obesity and type 2 diabetes mellitus: a network meta-analysis of randomized controlled trials. Obes Rev. 2020 Aug;21(8):e13030. doi: 10.1111/obr.13030. Epub 2020 Apr 14. PMID: 32286011; PMCID: PMC7379237.

Azagury D, Papasavas P, Hamdallah I, Gagner M, Kim J. ASMBS Position Statement on medium- and long-term durability of weight loss and diabetic outcomes after conventional stapled bariatric procedures. Surg Obes Relat Dis. 2018 Oct;14(10):1425-1441. doi: 10.1016/j.soard.2018.08.001. Epub 2018 Aug 11. PMID: 30242000.

Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Aminian A, Brethauer SA, Navaneethan SD, Singh RP, Pothier CE, Nissen SE, Kashyap SR; STAMPEDE Investigators. Bariatric surgery versus intensive medical therapy for diabetes – 5-Year outcomes. N Engl J Med. 2017 Feb 16;376(7):641-651. doi: 10.1056/NEJMoa1600869. PMID: 28199805; PMCID: PMC5451258.

Anastomotic Complications (Leak, Bleeding, etc) + Sewn vs Stapled Anastomosis

Anastomotic Complications (Leak, Bleeding, etc) + Sewn vs Stapled Anastomosis

Kermansaravi M, Kassir R, Valizadeh R, Parmar C, Davarpanah AH, Shahmiri SS, Benois M. Management of leaks following one anastomosis gastric bypass: an updated systematic review and meta-analysis of 44318 patients. Int J Surg. 2023 Apr 10. doi: 10.1097/JS9.0000000000000346. Epub ahead of print. PMID: 37026835.

Vitiello A, Berardi G, Velotti N, Schiavone V, Manetti C, Musella M. Linear versus circular laparoscopic gastrojejunal anastomosis of Roux-en-Y gastric bypass: Systematic review and meta-analysis of 22 comparative studies. Surg Laparosc Endosc Percutan Tech. 2022 Jun 1;32(3):393-398. doi: 10.1097/SLE.0000000000001055. PMID: 35583520.

Rogalski P, Swidnicka-Siergiejko A, Wasielica-Berger J, Zienkiewicz D, Wieckowska B, Wroblewski E, Baniukiewicz A, Rogalska-Plonska M, Siergiejko G, Dabrowski A, Daniluk J. Endoscopic management of leaks and fistulas after bariatric surgery: a systematic review and meta-analysis. Surg Endosc. 2021 Mar;35(3):1067-1087. doi: 10.1007/s00464-020-07471-1. Epub 2020 Feb 27. PMID: 32107632; PMCID: PMC7886733.

Gagner M, Kemmeter P. Comparison of laparoscopic sleeve gastrectomy leak rates in five staple-line reinforcement options: a systematic review. Surg Endosc. 2020 Jan;34(1):396-407. doi: 10.1007/s00464-019-06782-2. Epub 2019 Apr 16. PMID: 30993513; PMCID: PMC6946737.

Edholm D. Systematic Review and meta-analysis of circular- and linear-stapled gastro-jejunostomy in laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2019 Jun;29(6):1946-1953. doi: 10.1007/s11695-019-03803-w. PMID: 30864104.

Slesser AA, Pellino G, Shariq O, et al. Compression versus hand-sewn and stapled anastomosis in colorectal surgery: a systematic review and meta-analysis of randomized controlled trials. Tech Coloproctol. 2016;20(10):667–76. https://doi.org/10.1007/s10151-016-1521-8

Jiang HP, Lin LL, Jiang X, Qiao HQ. Meta-analysis of hand-sewn versus mechanical gastrojejunal anastomosis during laparoscopic Roux-en-Y gastric bypass for morbid obesity. Int J Surg. 2016 Aug;32:150-7. doi: 10.1016/j.ijsu.2016.04.024. Epub 2016 Apr 21. PMID: 27107663.

Löffler T, Rossion I, Gooßen K, Saure D, Weitz J, Ulrich A, Büchler MW, Diener MK. Hand suture versus stapler for closure of loop ileostomy–a systematic review and meta-analysis of randomized controlled trials. Langenbecks Arch Surg. 2015 Feb;400(2):193-205. doi: 10.1007/s00423-014-1265-8. Epub 2014 Dec 25. PMID: 25539702.